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Other health effects of cocaine use include: constricted blood vessels dilated pupils nausea raised body temperature and blood pressure fast or irregular heartbeat tremors and muscle twitches restlessness Long-term health effects of cocaine include: snorting: loss of smell, nosebleeds, frequent runny nose, and problems with swallowing smoking: cough, asthma, respiratory distress, and higher risk of infections like pneumonia consuming by mouth: severe bowel decay from reduced blood flow needle injection: higher risk for contracting HIV, hepatitis C, and other bloodborne diseases, skin or soft tissue infections, as well as scarring or collapsed veins Even people involved with non-needle cocaine use place themselves at risk for HIV because cocaine impairs judgment, which can lead to risky sexual behavior with infected partners